A recent CDC study reports that approximately 19% of adults aged 50 years and older have increased hip fracture risk in the next 10 years, while another 8% have increased risk for forearm, spine and hip/humerus fractures. The study analyzed data from the 2013–2014 National Health and Nutrition Examination Survey and used an algorithm called FRAX to integrate risk factors to help identify fracture probabilities in the US.

Sg2’s Impact of Change® forecast predicts a more modest 6% increase in hip fractures through 2026 and accounts for population health initiatives designed to manage osteoporosis and help reduce hip fracture incidences. Check out the Sg2 publication Service Line and Enterprise Programs, Technologies and Strategies—Frequently Asked Questions: Volume 5, Trends for Hip Fracture (page 95), in which our orthopedic intelligence team provides insights into engaging the workforce to improve clinical performance, as well as managing both the hip fracture continuum of care and the full episode of care.

Caregivers Improve Hospital Discharge Process and Lower Readmissions

During an investigation into the impact of caregivers on postdischarge costs and resources, the Journal of the American Geriatrics Society found that having an informal caregiver during the time of discharge for older individuals helped reduce the risk of 90-day readmission by 25%. Caregiver interventions included assistance with documenting care plans, reconciling medications and directing patients to appropriate community resources.

With hospital readmission penalties reaching up to $17 billion in Medicare expenditures annually, reducing avoidable readmissions has been a strategic savings opportunity for many hospitals. Sg2 is well positioned to advise health systems on enhancing discharge processes to help reduce costly readmission penalties. For more information, check out the following Sg2 resources:

An Annals of Family Medicine study examined factors associated with adult primary care coordination in 11 high-income countries, finding that the US rate of poor primary care coordination was 9.8%, which is higher than the overall rate of 5.2%. Poor primary care coordination was more likely to occur among patients under age 65 and those with chronic conditions, regardless of household income, gender, and insurance and health status.

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As of February 11, 2016, Vizient, Inc. has completed its purchase of MedAssets Sg2 and spend and clinical resource management segments from Pamplona Capital Management, LLC. MedAssets revenue cycle business will continue to operate as a wholly-owned subsidiary of Pamplona Capital Management LLP.